MARK EDWARD HERNANDEZ

SANDPOINT, ID
NPI1457416224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M6092)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
Dr. MARK EDWARD HERNANDEZ M.D.
302 S 1ST AVE
SANDPOINT, ID 83864-1258
Phone number: 208-263-5109
Mailing Address
Dr. MARK EDWARD HERNANDEZ M.D.
290 PONDER POINT DR
SANDPOINT, ID 83864-8657
Phone number: 208-263-1588